{% extends "user_base.html" %}
{% block title %}
用户首页
{% endblock %}

{% block subtitle %}
个人基本信息
{% endblock %}
{% block content %}


<div class="card">
  <div class="card-body">
    <h6 class="card-title"></h6>


    <!-- Vertical Form -->
    <form class="row g-3">
      <div class="col-md-4">
        <label for="inputNanme4" class="form-label">姓名</label>
        <input type="text" class="form-control" id="inputNanme4">
      </div>

      <div class="col-md-4">
        <label for="inputPassword4" class="form-label">年龄</label>
        <input type="password" class="form-control" id="inputPassword4">
      </div>

      <div class="col-md-4">
        <label for="inputState" class="form-label">性别</label>
        <select id="inputState" class="form-select">
          <option selected>男</option>
          <option>女</option>
        </select>
      </div>

      <div class="col-md-6">
        <label for="inputAddress" class="form-label">身高(cm)</label>
        <input type="text" class="form-control" id="inputAddress" placeholder="如165">
      </div>
      <div class="col-md-6">
        <label for="inputAddress" class="form-label">体重(kg)</label>
        <input type="text" class="form-control" id="inputAddress" placeholder="如55">
      </div>

      <div class="col-12">
        <label for="inputAddress" class="form-label">药物过敏史</label>
        <!-- <input type="text"  id="modelCode" class="typeahead form-control" data-provide="typeahead"> -->
        <input type="text" class="form-control" id="inputAddress" placeholder="如青霉素、磺胺、链霉素等">
      </div>

      <div class="col-md-6">
        <label for="inputAddress" class="form-label">外伤</label>
        <input type="text" class="form-control" id="inputAddress" placeholder="有请输入外伤名称，没有输入无">
      </div>
      <div class="col-md-6">
        <label for="inputAddress" class="form-label">外伤时间</label>
        <input type="text" class="form-control" id="inputAddress">
      </div>

      <div class="col-md-6">
        <label for="inputAddress" class="form-label">手术</label>
        <input type="text" class="form-control" id="inputAddress" placeholder="有请输入手术名称，没有输入无">
      </div>
      <div class="col-md-6">
        <label for="inputAddress" class="form-label">手术时间</label>
        <input type="text" class="form-control" id="inputAddress">
      </div>

      <div class="col-md-6">
        <label for="inputAddress" class="form-label">家族史</label>
        <input type="text" class="form-control" id="inputAddress">
      </div>

      <div class="col-md-6">
        <label for="inputAddress" class="form-label">遗传病史</label>
        <input type="text" class="form-control" id="inputAddress">
      </div>

      <div class="col-md-6">
        <label for="inputAddress" class="form-label">是否残疾</label>
        <input type="text" class="form-control" id="inputAddress">
      </div>

      <div class="col-md-6">
        <label for="inputAddress" class="form-label">常用药</label>
        <input type="text" class="form-control" id="inputAddress">
      </div>

      <div class="text-center">
        <button type="submit" class="btn btn-primary">添加</button>
        <button type="reset" class="btn btn-secondary">重置</button>
      </div>
    </form><!-- Vertical Form -->



  </div>
</div>





<section class="section">
  <div class="row">
    <div class="col-lg-6">

      <div class="card">
        <div class="card-body">
          <h5 class="card-title">Example Card</h5>
          <p>This is an examle page with no contrnt. You can use it as a starter for your custom pages.</p>
        </div>
      </div>

    </div>

    <div class="col-lg-6">

      <div class="card">
        <div class="card-body">
          <h5 class="card-title">Example Card</h5>
          <p>This is an examle page with no contrnt. You can use it as a starter for your custom pages.</p>
        </div>
      </div>

    </div>
  </div>
</section>

{% endblock %}